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HomeMy WebLinkAboutNCGNE1329_COMPLETE FILE - HISTORICAL_20190304PERMIT NO. DOC TYPE STORMWATER DIVISION CODING SHEET NCG PERMITS /V C:c, � �S a I ❑ HISTORICAL FILE ❑ MONITORING REPORTS DOC DATE I ❑ YYYYMMDD STORMWATER DIVISION CODING SHEET NCG PERMITS PERMIT NO. NC6NE I7ja.� DOC TYPE 0' HISTORICAL FILE DOC DATE ❑ c�i r1� �f li �Q YYYYMMDD Energy, Mineral and Land Resources EI4VIRONMENTAL QUALITY February 27, 2019 Poteet Printing Systems, LLC Attention: Roger Poteet 9103 Forsyth Park Drive Charlotte, North Carolina 28273 Subject: No Exposure Certification NCGNE1329 Poteet Printing Systems, LLC (Odell School Road) Cabarrus County Dear Mr. Poteet: ROY COOPER Governor MICHAEL S. REGAN - Secretary S. DANIEL SMITH Interim Director RECU "D MAR 0 4 2013 DEN R-LAND QUALITY STORMWATER PERMI i I ING The Division of Energy, Mineral and Land Resources (DEMLR) has reviewed your submittal of the No Exposure Certification for Exclusion from NPDES Stormwater Permitting form. Based on your submittal and signed certification of no exposure at the above referenced facility as well as observations made during a site visit conducted by Mooresville Regional Office staff on February 26, 2019, the Division is granting your conditional exclusion from permitting as provided for under 40 CFR 122.26(g), which is incorporated by reference in North Carolina regulations. Please note that by our acceptance of your No Exposure Certification, you are obligated to maintain no exposure conditions at your facility. If conditions change such that your facility can no longerqualify for the No Exposure Certification, you are obligated to immediately obtain NPDES permit coverage for your stormwater discharge. Otherwise, the discharge becomes subject to enforcement as an"un-permitted discharge. You must self re -certify annually using the enclosed form, or obtain NPDES permit coverage for any stormwater discharges from your facility. The annual self fe- certification does not need to be submitted to DEMLR unless requested. Your conditional exclusion from permitting does not affect your facility's legal requirements to obtain environmental permits that may be required under other federal, state, or local regulations or ordinances. If you have.any questions or need further information, please contact Mr. James Moore at (704) 235-2138. Sincerely, Zahid Khan, CPM, CPESC, CPSWQ Regional Engineer Land Quality Section Enclosure cc-= ==Raleigh-Stormwaterf ermitting-Program;-No Exposure Files'(w/o enclosure)3 State of North Carolina I Environmental Quality I Energy, Mineral and Land Resources Mooresville Regional Office 1610 East Center Avenue I Mooresville, NC 281 l5 704-663-1699 Permit: NCONE1329 SOC: County: Cabamis Region: Mooresville Complianog InspectionRepo Effective: Expiration: Effective: Expiration. Owner-, Poteel Pdnting Systems LLC Facility: Poteet Printing Systems - Concord 2630 Odell School Rd Contact Person: Roger Poieet Title: Directions to Facility: From 1-85 take NC-73W for 3.7 mites tum right onto Odell School Road tallow for 0.7 miles System Classlficatlons: Primary ORC: Certification: Secondary ORC(s): On -Site Reprssentativo(s): Related Permits: Concord NC 28027 Phone: 704-588-6005 Phone: Inspection Date: 02/26/2019' Entry Timer 08:00AM Exit Time: 08:15AM Primary Inspector: James D Moore Phone: Secondary Inspector(*): Reason for Inspection: Routine Inspection Type: Compliance Evaluation Permit Inspection Type: Stormwater Discharge, No Exposure Certificate Fatlilty Status: Compliant Not Compliant Question Areas: Miscellaneous Questions (See attachment summary) Page: 1 permrC NCONE1329 Ownsr • Faculty: Potael Printing Systenrs LLC Inspection Cate: 021=019 Inspection Type: Compilanco EVOW80071 Rsason for Visit: Routine Inspection Summary: Based on the site inspection no exposure is recommended. Nothing is stored outside,the building is used for warehousing, Page: 2 Energy, Mineral and LandResources ENVIRONMENTAL QUALITY February 27, 2019 Poteet Printing Systems, Lt_C Attention: Roger Poteet 9103 Forsyth Park Drive Charlotte, NC 28273 Subject: No Exposure Certification NCGNEl329 Poteet Printing Systems, LLC (Odell School Road) Cabarrus County Dear Mr. Poteet: ROY COOPER Governor MICHAEL S. REGAN Secretary S. DANIEL SMITH Interim Director The Division of Energy, Mineral and Land Resources (DEMLR) has reviewed your submittal of the No Exposure Certification for Exclusion from NPDES Stormwater Permitting form. Based on your submittal and signed certification of no exposure at the above referenced facility as well as,observations made during a site visit conducted by Mooresville Regional Office staff on February 26, 2019, the Division is granting your conditional exclusion from permitting as provided for under 40 CFR 122.26(g), which is incorporated by reference in North Carolina regulations. Please note that by our acceptance of your No Exposure Certification, you are obligated to maintain no exposure conditions at your facility. If conditions change such that your facility can no longer qualify for the No Exposure Certification, you are obligated to immediately obtain NPDES permit coverage for your stormwater discharge. Otherwise, the discharge becomes subject to enforcement as an un-permitted discharge. You must self re -certify annually using the enclosed form, or obtain NPDES permit coverage for any stormwater discharges from your facility. The annual self re -certification does not need to be submitted to DEMLR unless requested. Your conditional exclusion from permitting does not affect your facility's legal requirements to obtain environmental permits that may be required under other federal, state, or local regulations or ordinances. If you have any questions or need further information, please contact Mr. James Moore at (704) 235-2138, Sincerely, Zahid Khan, GPM, CPESC, CPSWQ Regional Engineer Enclosure cc: MRO -- DEMLR, Stormwater Files (w/o. enclosure) Raleigh Stormwater Permitting Program, No Exposure Files (w/o enclosure) Slate of North Carolina I Environmental Quality I Energy, Mineral and Land Resources Mooresville Regional Office 1610 East Center Avenue I Mooresville, NC 28115 704-663-1699 Compliance Inspection Report Permit: NCGNE1329 Effective: Expiration: Owner: Poteet Printing Systems LLC SOC: Effective: Expiration: Facility: Poteet Printing Systems - Concord County: Caharrus 2630 Odell School Rd Region: Mooresville ' Concord NC 28027 Contact Person: Roger Poteet Title: Directions to Facility: From 1-85 take NC-73W far 3.7 miles turn right onto Odell School Road follow for 07 miles. System Classifications: Primary ORC: Certification: Secondary ORC(s): On -Site Rep rosentative(s): Related Permits: Phone: 704-588-0005 Phone: Inspection Date: 02/26/2019 Entry Time: 08:DOAM Exit Time: 08:15AM Primary Inspector: James D Moore Phone: Secondary Inspector(s): Reason for Inspection: Routine Inspection Type: Compliance Evaluation Permit Inspection Type: Stormwater Discharge, No Exposure Certificate Facility Status: Compliant Not Compliant Question Areas: Miscellaneous Questions (See attachment summary) Page: 1 Permit: NCGNE1329 Owner - Facility: Poteet Printing Systems LLC i Inspection Date: 0212812010 Inspection Type : Compliance Evaluation Reason for Visit: Routine Inspection Summary: Based on -the site inspection no exposure is recommended. Nothing is stored outside,the building is used for warehousing. Page: 2 vc- \A Division of Energy, Mineral andtand Resources 1U6it d )i5 ty;Sectibn' National:Pollutant l3ischarge Eli mination:System: - IVV. Caru,IUKr_ l�t✓tCI1VIUA!I 1C Erivir`onrnenral NC6NE0000. f i FOR AGFNCY'USE ONLY ' .. ..fC RtcCived •" �j f h/� Year.' _ Montli.... _ �+ 1 ---ram— . Cerurl�teafCovera 1 FEB ,rj 4a . OENR-L"AND:-QUkLITY' National PolIutant,Disc harg e:Eiimination SY stem;application for exclusion -from a �( W*4*w.4R 1. on NO EXPOSURE: " Submission;of this No -Exposure Cartification�constitutes•notirication that -your facility,does not require:a permit -for stormwater discharges, associated with;'industriat activity In the,State of North, Carolina because it qualifies fora no.earposure exclusion: A condition: of no'exposure at'an industrial facility means aff industrial materials and'activitiei are. protected.4'a siii?m resistant shelter (with. some ekceptlons):to prevent exposure;to rain, snow,,snowmelt, and%r runoff. For permittdd facilities in' North Carolina,', DEMLR,;inust approve your application,for No s exclusion; is effecttVe. UntiVyou ar`e. i'ssuad a', Noy Exposumcertificatlon and your NPDES`•permit is rescinded, yourlacility,must1continue' P. Y , to'.abide'bylthe terms and coridiiions of iho currentipermit: lndustrial material's or activities'include; but are not.limitedto: material handling equipmentor activities, industrial rriachlneiy, raw materials, intermediate products,,by-products, final products, or waste products: Material handling activities lnslude the storage; loading and unloading,, transportation,, or conveyance of anyraw.material, intermediate_ product, flnai.product or -waste product. A storm resistant shelter ls'n6f required for the following industrial materials and, activities: -drums, barrels, tanks, and similar containers that are: tlgfitly'sealed, provided those containers are not deteriorated and do not leak. "Sealed" means banded: or otherwise secured -and with locked or non -operational taps or valves; adequatelymaintained: vehicles.used in material handling; and final products„other than products that would-be mobilized in storm water discharges-(e.g., rock salt). .A No Exposure Certification must be provided for each facility qualifying for the no exposure exclusion. In. addition, the:exclusion from. NPDES -permitting !s available: on a.facility-wide basis only --not for individual outfalls: If any -industrial activities or materials are, or will be, exposed to precipitation; the fac!llty is not eligible for the no exposure exclusion. By signing and.submltting this No Exposure Certification form,: you certify that.a condition of no exposure exists at this facilityor site and'are obligated to: comply with the terms and conditions of 40. CFR 122.26(g). If approved, your conditional, No Exposure` Exclusion has noaxpiration date BUT MUST BE self, re-certified.at least an-nuali . Please look for information about; re -certification under the -No E'xposure'section on this page:- LaL�...11J��.�� ��../J L�..�/Jl..iw www 11".... r....•�.;4 �_JI".I��J _���.._���1����..-�:J��1 I��Ji:'�'�_�:L�f�•�...-_.:"_�a'_- For questions, please contact tile-D!~Ml-R-Regional Office for your area. (See:page 6) (Please print or type)> 1) Mailing address of-ownerloperator (addr'essto Which all certification correspondence -will be mailedl::. Name Poteet Printing Systems, Li_C Contact Roger Poteet Street Address City Telephone No. 704 =:dog Page 1 of 7 Stale. NC ZIP Code " F4 M7 '°_I Fax: pone none Ain SWU-NCGNE Last revised9128/2016 A NCGNE0000 No Exposure Certification 2) Location of facility' producing discharge: Facility Name Poteet Printing Systems, LLC Facility Contact Roger Poteet Street Address 2630 Odell Schooi Road City Concord State 'NC ZIP Code 28027 County Cabarrus (this facility is not in Concord city lirnits,.only Caharrus county limits). Telephone No. 704 904=3378 Fax: none none 3) Physical location information: Please provide a narrative description of how to getto the facility (use street names, state road numbers, and distance and direction from, a roadway, intersection). From 1-85'take NC-73W For 3.7 miles tum right.onto ontoiOdell 'School Road follow for .7 miles. (A copy of a map with the facility clearly located on it should be included with the -certification application.) 4) Is the facility, located on Native American lands? d Yes O' No 5) Is this a Federal facility? © Yes 'M No 6) latitude 35.4522.00. . Longitude, -80.731091. (deg., min., seconds) 7) This NPDES No Exposure Exclusion application applies to which of the following: in, New or.Proposed Facility Date operation is lo.begin 0 Existing Date operation began March 6,.2012 CrRenewal of existing No Exposure Certification Certification No.: NCGNE 8), Was this facility or site ever covered under an NPDES Stormwater. Permit? ©Yes 0 No If yes, what is the NPDES Permit Number? 9) Standard Industrial Classification: Provide the 4-digit Standard Industrial Classification Code (SIC Code) that describes the primary industrial activity at this facility SIC Code: 2 8 9 3 10) Provide.a brief description of the types of industrial activities and products produced, at;this facility: Manufacturing Of printing inks for fiexoarnhic_and gravure customers and manufacturers of inks and overprint varnishes for direct food contact. 11} Does this,facility have any Mon -Discharge permits (ex: recycle permits)? ® No p Yes If yes, Mist the permit numbers for all current Non -Discharge permits for this facility: Page 2 of 7 SWU-NCGNE Last revised 912812016' NCGNE0000 No Exposure Certification Exposure Checklists (12. -14.) 12) Are any of the following rrsaterials or activities exposed to precipitation; now or in the foreseeable future? (Please check either "Yes" or "No.") If you answer "Yes" to any of these items, you are not eligible for the no exposure exclusion. a. Using, storing, or cleaning industrial machinery or equipment; and areas where 0 Yes ® No © NIA residuals from using, storing or cleaning industrial machinery or equipment remain and are exposed to stormwater b. Materials or residuals on the ground or in stormwater inlets frornspills/leaks p Yes ■ No © NIA c. Materials or products from past industrial activity 0 Yes..■ No © NIA d. Material handling equipment (except adequately maintained vehicles) E3 Yes ■ No © NIA e. Materials or products during load inglunloading or transporting activities © Yes 0 No © N/A f. Materials or products stored outdoors (except -final products intended for outside 0 Yes 0 No © NIA use [e.g., new cars] where exposure to stormwater does not result in the discharge of pollutants) g. Materials contained in open, deteriorated:or leaking storage_ .drums, barrels, © Yes ® No 13 NIA tanks, and similar containers h. Materials or products handled/stored on roads or railways owned or maintained © Yes ■ No 0 NIA by the discharger i. Waste material (except waste in covered, non -leaking containers [e.g., © Yes ■ No O NIA dumpsters)) j. Application or disposal of process wastewater (unless otherwise permitted) © Yes 111 No © N/A k. Particulate matter or visible deposits of residuals from roof stacks and/or vents © Yes ■ No © WA not otherwise regulated (i.e., under an air quality control permit) and evident in the stormwater outflow 1. Empty containers that previously contained materials that:are not properly stored 8 Yes U No p NIA (i.e., not closed and stored upside down to prevent precipitation accumulation) m. For any exterior ASTs, as well as drums, barrels„ tanks, and similar containers © Yes i No o © NIA stored outside, has the facility hadany releases in the past three (3) years? 13) Above -Ground Storage Tanks (ASTs): If you answer "No'' to any of the following items, you are not, eligible for'the no exposure exclusion. a. Are exterior ASTs or piping free of rust, damaged or weathered coating, pits, or © Yes © No A NIA deterioration, or evidence of leaks? b. Is secondary containment provided for all exterior ASTs? If so, is it free of any © Yes 0 No ■ NIA cracks, holes, or evidence of leaks, and are drain valves maintained locked shut? 14) Secondary Containment: If you answer "No" to any of the following items, you are not eligible for the no exposure exclusion. Page 3 of 7 SWU-NCGNE Last revised 912W2016 Yl NCGNE0660 No Exposure Certification a. Is secondary containment provided for single above ground storage containers 0 Yes 0 No ■ NIA (including drums, barrels, etc.) with a capacity of more than 660-gallons? b. Is secondary containment provided for above ground storage containers stored ©,Yes ©No W NIA in close proximity to each other with_ a combined capacity of more than 1,320- gallons? c. Is secondary containment:provided for Title Ill Section 313 Superfund []Yes ©No djNIA• Amendments and Reauthorization Act (SARA) water Qrjority chemicals*? d.. Is secondary containment provided for'hazardous substances" designated in 0 Yes []No M NIA 40 CFR §116? e. Are release valves on.all secondary containment structures locked? ©'Yes- 0 No @ NIA 15) Hazardous Waste: a. Is this facility a_ Hazardous Waste Treatment, Storage, or Disposal Facility? ElYes ■ No 0 NIA b. Is this facility a Small. Quantity Generator(less than 1000 kg. of hazardous © Yes N No p N/A waste generated_ per month) of hazardous waste? c. Is this facility a Large duantity Generator (1000 kg. or more of hazardous waste o Yes ON o 0 NIA generated per month) of hazardous waste? if you answered yes to -questions b. or c., please provide the following information: Type(s) of waste: How is material stored: Where is material stored: How many disposal shipments per year: Name of transport l disposal vendor: Vendor address: Footnotes to Questions 14) c: & d. *Note that amounts below the 660-gallon (single) and.1,320-gallon (combined) bulk storage minimums require secondary containment. However„some exceptions may be made for de m1nimis amounts of certain substances, and/or. other qualifiers, as described in the exemptions from reporting requirements of Title III SARA 313 in 40 CFR §372.38. "Note that amounts below the 660-gallon (single) and 1,320-gallon (combined) bulk storage minimums require secondary. containment. However, some exceptions may be made for amounts less than the Reportable Quantities of the hazardous' substances listedin 40 CFR §117.3'. 16) Other information: If you answer "Yes" to,any of the following items, you might not be eligible for the no exposure exclusion: A more in-depth evaluation of the site circumstances may be required. Page 4 of 7 SWU-NCGNt Last revised 9/28/2016 y NCGNE0000 No Exposure Certification a. Does your facility store used, recycled, or otherwise reclaimed pallets outside? [I Yes ® No lD NIA b. Does your facility have coal piles on site? €J Yes ■ No Q N/A c. Does your facility store other fuel sources outside in piles, such as wood chips,. p Yes a No p NIA sawdust, etc.? d. Does your facility have air emissions associated with its industrial activity (e.g., &Yes © No p NIA degreasing operations, plating, painting and metal finishing)? If so, describe the industrial activity: small batch printing ink manufacturing e. If you answered yes to d., are those emissions permitted by an Air Quality 0 Yes 0 No ■ NIA Permit? Please specify: Emissions are insignificant source f. Please list.any other environmental program permits (federal, state, etc.) not specified earlier in this application (such as Hazardous Waste Permits, etc.): Permit: NIA Program: Permit: Program: Permit: Program: Permit: Program: Permit: Program: Permit: Program: Permit: Program: Page 5 of 7 S W U-NCGNE Last revised 9/2812016 r -NCGNE6666 NQ Exposure Certification 17) Certification.: I•certify,under-penslty-of::lawEthat•khave •read-and•understand;the eligibility, requirements, for cla ming`a'conditian-of:'na'�°`"'� exposure" and obtaining an exclusion'fro.60. .rn' ObO stwater.pennitting. I certify under penalty -of law, that,there are;no discharges of stormwater oontaminated:by;exposure to;industriel activities or materials from, the industrial fad#lily or site identified in this document (6xcept.as allowed under 40 UR'122.26(g)(2)). understandlthat 1 am obiigated'to maintain no exposure conditions,and complete a Self-Recetification`forro blijeast once each year, and if requested, provide this certification to the operator of thellocal muniapa€ separate storm sewer:system (MS4) €nto which the,facility discharges (where applicable): I understand that I must"allow the North Carolina,Division of Energy, MTja l,:aiid Land Resources, or MS4' operator where.the discharge is into the local MS4, to perform inspections to confirm the condition of no exposure and to make such inspection reports publicly. available. upon request.. I understand I T_tust,keep a copyof annual re -certifications on file.ataiie facility:. In'the event that the site no. longer qualifies for -a No Exposure' Exclusion; I understand that,I,mbst`obtain.aoverage under' ar NPDES'permit prior to an - i ' - - •_. __ _ y point sourcedischa`rge of tfie:faci€ity: Additionally, I`cerfifq; urider'pena€ty.of' law'thaf tf is_ d6curTi&nt and aWa tactirnerits were prepared urldgr my direction or supervision in accordance with:a system designed.6 assure that qualified personnel properly gathered.and evaluated the information submitted., Based'on.my inquiry of the person or persons -who manage the system, or those persons directly responsible for gathering the information, the informaiion'submitted is to the best of my knowledge and belief true, accurate and complete. I am aware thaLthere are sign ficarit penahies.for submittirsg'false info'ririatior ,including the possibility of fine and imprisonment for .knowing violations: I certify that eam'familiar with the information contained in this application and -that to the best of my knowledge and,be€ief such information is true, complete, and accurate. m Printed Name of :Person Signing:Roger:?oteet. Title: Owner (Signatureiof Applicant) 2: 7 010 (Date Signed) FEB1114 2010 DENFt-LAND QUALITY' Please note: This application for the No Exposure Exclusion is subject to approval MITT NG Regional Olfce prior to"issuance. The Re4lonal Office may lirspect your facility far. compliance with -no exposure conditions prior to that. approval. The Regional Office may also inspecfyour facility at any time in the future: for compliance with the No Exposure ,Exclusion. North Carolina General Statute 143-216.6 B(i) provides that: Any person who knowingly makes any false statement, representation, or certificatioh;in,any applicationi recprd, report; plan, or, other document filed: or required to be maintalned under this Article or. a rule Implementing.this Article; or: who knowingly makes a false: ' , ..._. statement of a material fact to a:nalemakirtg proceeding or contested case under this Article;:orwho fatsiFles,^tarp pers with, or knowingly renders inaccurate any recording or monitoring device or method required to be opt rated or maintained under, this Article or rules:of the (Environmental Management] Commission implementing this Article shall be guilty of a:Ctass:2 misdemeanor which may include a fine not to exceed ten thousand dollars ($10,000). Thereis currently no -fee for a No Exposure Exclusion: Page 6. of'7 SWU-NCGNF Last revised,912812016 NCGNE0000' N6.Ezposure Certifieatiori Final Checklist This'application should include the following items: This completed'application and all supporting documentation. * A map with the location of'the.facility clearly -marked. ❑ If the site currently has an NPDES Stormwater Permit, be:sure.to indicate.the permit nurnber in Question 8. Mail the entire package; to:. f7EMLR: Sto7water F`rogram beet_ of�Environmental Quality, 1612 Mail"Service Center Raleigh; North Carolina 27699-161'2 Note' The submission'ofthis document does not guarantee the issuance of a No Exposure Exclusion. For questions, pleaseicon tact the DEMLR Regional Office. for your area. DEMLRAegional Office.Contact Information: Asheville Office ...... (828) 296-4500 Fayetteville Offices... (910) 433-3300 Mooresville Office ... (7.04) 663=1699 Raleigh.Office�... ..... (919) 791-4200. Wasiiington Office ...(252) 946-6481 Wilmington Office ... (910) 796-7215- Winston=Salem ...... (336) 776.9800, Central Office .....:... (919) 707-9220 Page 7 of 7 SWU-NCGNE Last revised 9128/2016' ti • 2630 Odell Sch661,Kd - Goo& Maps Page 1: of 2 &:Map§. 2630 Odell School Rd r k- &6.og !4D Map data 02018 Google 2mi. httvs:ll'VA'VW.eoo�Ie.comlman&/vlacel!630+OdeII4-Scho6i+iZd.LFConeorj.+NC+280271na,35-.449831-3.-80.7 L 480677,1271data=!4... 12/21 /2018 i� Environmental Quality Division of Energy, Mineral and Land Resources Land Quality Section National Pollutant Discharge Elimination System NO EXPOSURE CERTIFICATION for Exclusion NCGNE0000 NC 1Z121 FOR AGENCY USE ONLY Dsu Received Year Momh Day cerlificlte ofcovernp FEB 11 2013 DEER -LAND OUALITI National Pollutant Discharge Elimination System application for exclusion from a StTCPiHWiMF`-,P¢(Mit)tlnell on NO EXPOSURE: Submission of this No Exposure Certification constitutes notification that your facility does not require a permit for stormwater discharges associated with industrial activity in the State of North Carolina because it qualifies for a no exposure exclusion. A condition of no exposure at an industrial facility m eans all industrial materials and activities are protected by a storm resistant shelter (with some exceptions) to prevent exposure to rain, snow, snowmelt, and/or runoff. For permitted facilities in North Carolina, DEMLR must approve your application for No Exposure Certification before this exclusion is effective. Until you are issued a No Exposure Certification and your NPDES permit is rescinded, your facility must continue to abide by the terms and conditions of the current permit. Industrial materials or activities include, but are not limited to: material handling equipment or activities, industrial machinery, raw materials, intermediate products, by-products, final products, or waste products. Material handling activities include the storage, loading and unloading, transportation, or conveyance of any raw material, intermediate product, final product or waste product. A storm resistant shelter is not required for the following industrial materials and activities: drums, barrels, tanks, and similar containers that are tightly sealed, provided those containers are not deteriorated and do not leak. "Sealed" means banded or otherwise secured and with locked or non -operational taps or valves; adequately maintained vehicles used in material handling; and final products, other than products that would be mobilized in stormwater discharges (e.g., rock salt). A No Exposure Certification must be provided for each facility qualifying for the no exposure exclusion. In addition, the exclusion from NPDES permitting is available on a facility -wide basis only —not for individual outfalls. If any industrial activities or materials are, or will be, exposed to precipitation, the facility is not eligible for the no exposure exclusion. By signing and submitting this No Exposure Certification form, you certify that a condition of no exposure exists at this facility or site and are obligated to comply with the terms and conditions of 40 CFR 122.26(g). If approved, your conditional No Exposure Exclusion has no expiration date BUT MUST BE self re -certified at least annually. Please look for information about re -certification under the No Exposure section on this page: https:Hdeg.nc.gov/about/divisions/energy-mineral-land-resources/energv-mineral-land-permits/stormwater- ermits/n des-industrial-sw For questions, please contact the DEMLR Regional Office for your area. (See page 6) (Please print or type) 1) Mailing address of owner/operator (address to which all certification correspondence will be mailed): Name Poteet Printing Systems, LLC Contact Street Address City Telephone No. Roger Poteet q I b.;b �c t.• ►,a b� " HOW6 Io, TState NC ZIP Code 28027" 704 104-83?8s Pax: none none o� � �rzicvm �i bOl� Page 1 of 7 3�I � g 4 Q1 r, SWU-NCGNE Last revised 9/2812016 NCGNEGGUG No Exposure Certification 2) Location of facility producing discharge: Facility Name Poteet Printing Systems, LLC Facility Contact Roger Poteet Street Address 2630 Odell School Road City Concord State NC ZIP Code 28027 County Cabarrus (this facility is not in Concord city limits, only Cabarrus county limits) Telephone No. 704 904-3378 Fax: none none 3) Physical location information: Please provide a narrative description of how to get to the facility (use street names, state road numbers, and distance and direction from a roadway intersection). From 1-85 take NC-73W for 3.7 miles turn right onto onto Odell School Road follow for .7 miles. (A copy of a map with the facility clearly located on it should be included with the certification application.) 4) Is the facility located on Native American Lands? ©Yes 2 No 5) Is this a Federal facility? © Yes M No 6) Latitude 35.4522.00 Longitude -80.731091 (deg., min., seconds) 7) This NPDES No Exposure Exclusion application applies to which of the following: © New or Proposed Facility Date operation is to begin 0 Existing Date operation began March 6, 2012 © Renewal of existing No Exposure Certification Certification No.: NCGNE 8) Was this facility or site ever covered under an NPDES Stormwater Permit? © Yes ® No If yes, what is the NPDES Permit Number? 9) Standard Industrial Classification: Provide the 4-digit Standard Industrial Classification Code (SIC Code) that describes the primary industrial activity at this facility SIC Code: 2 8 9 3 10) Provide a brief description of the types of industrial activities and products produced at this facility: Manufacturing of Drintinq inks for flexownhic and gravure customers and manufacturers of inks and overprint varnishes for direct food contact. 11) Does this facility have any Non -Discharge permits (ex: recycle permits)? ■ No © Yes If yes, list the permit numbers for all current Non -Discharge permits for this facility: Page 2 of 7 SWU-NCGNE Last revised 912812016 NCGNE0000 No Exposure Certification Exposure Checklists (12. - 14.) 12) Are any of the following materials or activities exposed to precipitation, now or in the foreseeable future? (Please check either "Yes" or "No.") If you answer "Yes" to any of these items, you are not eligible for the no exposure exclusion. a. Using, storing, or cleaning industrial machinery or equipment, and areas where © Yes ® No p NIA residuals from using, storing or cleaning industrial machinery or equipment remain and are exposed to stormwater b. Materials or residuals on the ground or in stormwater inlets from spills/leaks c. Materials or products from past industrial activity d. Material handling equipment (except adequately maintained vehicles) e. Materials or products during loading/unloading or transporting activities f. Materials or products stored outdoors (except final products intended for outside use [e.g., new cars] where exposure to stormwater does not result in the discharge of pollutants) g. Materials contained in open, deteriorated or leaking storage drums, barrels, tanks, and similar containers h. Materials or products handled/stored on roads or railways owned or maintained by the discharger i. Waste material (except waste in covered, non -leaking containers [e.g., dumpsters]) j. Application or disposal of process wastewater (unless otherwise permitted) ❑ Yes ® No © NIA ❑ Yes M No © NIA ❑ Yes ® No ❑ NIA © Yes S No © NIA ❑ Yes 0 No © NIA © Yes ■ No 0 NIA 0 Yes ® No © NIA © Yes N No © NIA 0 Yes S No ❑ NIA k. Particulate matter or visible deposits of residuals from roof stacks and/or vents © Yes M No p NIA not otherwise regulated (i.e., under an air quality control permit) and evident in the stormwater outflow 1. Empty containers that previously contained materials that are not properly stored 0 Yes M No ❑ NIA (i.e., not closed and stored upside down to prevent precipitation accumulation) m. For any exterior ASTs, as well as drums, barrels, tanks, and similar containers ❑ Yes ■ No ©N/A stored outside, has the facility had any releases in the past three (3) years? 13) Above Ground Storage Tanks (ASTs): If you answer "No" to any of the following items, you are not eligible for the no exposure exclusion. a. Are exterior ASTs or piping free of rust, damaged or weathered coating, pits, or © Yes 0 No §kN/A deterioration, or evidence of leaks? b. Is secondary containment provided for all exterior ASTs? If so, is it free of any ❑ Yes ❑ No a N/A cracks, holes, or evidence of leaks, and are drain valves maintained locked shut? 14) Secondary Containment: If you answer "No" to any of the following items, you are not eligible for the no exposure exclusion. Page 3 of 7 SWU-NCGNE Last revised 9/28/2016 NCGNE0004 No Exposure Certification a. Is secondary containment provided for single above ground storage containers ❑ Yes 0 No ■ NIA (including drums, barrels, etc.) with a capacity of more than 660-gallons? b. Is secondary containment provided for above ground storage containers stored []Yes (:]No M NIA in close proximity to each other with a combined capacity of more than 1,320- gallons? c. Is secondary containment provided for Title III Section 313 Superfund © Yes © No 4%NIA Amendments and Reauthorization Act (SARA) water priority chemicals*? d. Is secondary containment provided for hazardous substances** designated in [:]Yes p No M NIA 40 CFR §116? e. Are release valves on all secondary containment structures locked? © Yes © No @ NIA 15) Hazardous Waste: a. Is this facility a Hazardous Waste Treatment, Storage, or Disposal Facility? [DYes s No © NIA b. Is this facility a Small Quantity Generator (less than 1000 kg. of hazardous © Yes ■ No © NIA waste generated per month) of hazardous waste? c. Is this facility a Large Quantity Generator (1000 kg. or more of hazardous waste Co Yes ® No 0 NIA generated per month) of hazardous waste? If you answered yes to questions b. or c., please provide the following information: Type(s) of waste: How is material stored: Where is material stored: How many disposal shipments per year: Name of transport 1 disposal vendor: Vendor address: Footnotes to Questions 14) c. & d. *Note that amounts below the 660-gallon (single) and 1,320-gallon (combined) bulk storage minimums require secondary containment. However, some exceptions may be made for de minimis amounts of certain substances, and/or other qualifiers, as described in the exemptions from reporting requirements of Title III SARA 313 in 40 CFR §372.38. **Note that amounts below the 660-gallon (single) and 1,320-gallon (combined) bulk storage minimums require secondary containment. However, some exceptions may be made for amounts less than the Reportable Quantities of the hazardous substances listed in 40 CFR §117.3. 16) Other information: If you answer "Yes" to any of the following items, you might not be eligible for the no exposure exclusion. A more in-depth evaluation of the site circumstances may be required. Page 4of7 SWU-NCGNE Last revised 9/28/2016 NCGNE0000 No Exposure Certification a. Does your facility store used, recycled, or otherwise reclaimed pallets outside? ❑ Yes ■ No © NIA b. Does your facility have coal piles on site? p Yes ® No 0 NIA c. Does your facility store other fuel sources outside in piles, such as wood chips, ❑ Yes a No p NIA sawdust, etc.? d. Does your facility have air emissions associated with its industrial activity (e.g., ■Yes 17 No © NIA degreasing operations, plating, painting and metal finishing)? If so, describe the industrial activity: small batch printing ink manufacturing e. If you answered yes to d., are those emissions permitted by an Air Quality ❑ Yes 0 No ■ NIA Permit? Please specify: Emissions are insignificant source f. Please list any other environmental program permits (federal, state, etc.) not specified earlier in this application (such as Hazardous Waste Permits, etc.): Permit: N/A Program: Permit: Program: Permit: Program: Permit: Program: Permit: Program: Permit: Program: Permit: Program: Page 5 of 7 SWU-NCGNE East revised 9128t2016 NCGNE0000 No Exposure Certification 17) Certification: I certify under penalty of law that I have read and understand the eligibility requirements for claiming a condition of "no exposure" and obtaining an exclusion from NPDES stormwater permitting. I certify under penalty of law that there are no discharges of stormwater contaminated by exposure to industrial activities or materials from the industrial facility or site identified in this document (except as allowed under 40 CFR 122.26(g)(2)). I understand that I am obligated to maintain no exposure conditions and complete a Self -Recertification form at least once each year, and if requested, provide this certification to the operator of the local municipal separate storm sewer system (MS4) into which the facility discharges (where applicable). I understand that I must allow the North Carolina Division of Energy, Mineral, and land Resources, or MS4 operator where the discharge is into the local MS4, to perform inspections to confirm the condition of no exposure and to make such inspection reports publicly available upon request. I understand must keep a copy of annual re -certifications on file at the facility. In the event that the site no longer qualifies for a No Exposure Exclusion, I understand that I must obtain coverage under an NPDES permit prior to any point source discharge of stormwater from the facility. Additionally, I certify under penalty of law that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is to the best of my knowledge and belief true, accurate and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fine and imprisonment for knowing violations. certify that I am familiar with the information contained in this application and that to the best of my knowledge and belief such information is true, complete, and accurate. Printed Name of Person Signing: Roger Poteet Title: Owner (Signature of Applicant) 2 ;V 9 R;=rFJVF (Date Signed) FEB 11201114 DENR-LAND QUALITY Please note: This application for the No Exposure Exclusion is subject to approval b e Nftew MITT ING Regional Office prior to issuance. The Regional Office may inspect your facility for compliance with no exposure conditions prior to that approval. The Regional Office may also inspect your facility at any time in the future for compliance with the No Exposure Exclusion. North Carolina General Statute 143-215.6 B(i) provides that: Any person who knowingly makes any false statement, representation, or certification in any application, record, report, plan, or other document filed or required to be maintained under this Article or a rule implementing this Article; or who knowingly makes a false statement of a material fact in a rulemaking proceeding or contested case under this Article; or who falsifies, tampers with, or knowingly renders inaccurate any recording or monitoring device or method required to be operated or maintained under this Article or rules of the [Environmental Management} Commission implementing this Article shall be guilty of a Class 2 misdemeanor which may include a fine not to exceed ten thousand dollars ($10,000). There is currently no fee for a No Exposure Exclusion. Page 6 of 7 SWU-NCGNE last revised 9/28/2016 NCGNE0000 No Exposure Certification Final Checklist This application should include the following items: 0 This completed application and all supporting documentation. © A map with the location of the facility clearly marked. O If the site currently has an NPDES Stormwater Permit, be sure to indicate the permit number in Question 8. Mail the entire package to: DEMLR - Stormwater Program Dept. of Environmental Quality 1612 Mail Service Center Raleigh, North Carolina 27699-1612 Note The submission of this document does not guarantee the issuance of a No Exposure Exclusion. For questions, please contact the DEMLR Regional Office for your area. DEMLR Regional Office Contact Information: Asheville Office ... Fayetteville Office Mooresville Office Raleigh Office Washington Office Wilmington Office Winston-Salem .... Central Office ....... (828) 296-4500 (910) 433-3300 (704) 663-1699 (919) 791-4200 ...(252) 946-6481 (910) 796-7215 (336) 776-9800 .. (919) 707-9220 Page 7 of 7 5Wt1-NCGNE Last revised 9/28/2016 2630 Odell School Rd - Google Maps Page 1 of 2 G9409le 'Maps 2630 Odell School Rd WNl[OOrI - 4, � �,• ,-, pNR� � •'I _ .' I ��..r l•r�J eh1 udWl ti •.xd :,.rt r`nee+�ri lR�aer GOM C!A P — COFKwd :q � �. � �(� c�:u a Iwo. Q a � • Goog e Map data 02018 Gaggle z m+ httns://www.google.comlmayslvlacel2630+Odell+School+Rd.+Concord.+NC+280271(a 35.4498313: 80.7480677.12zldata=!4... 12/21 /2018